Stack, Pamela June

Stack, Pamela June is an individual health care provider with primary practice located at 330 N Gore Ave , Webster Groves MO 63119-1600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stack, Pamela June can be contacted via phone (314) 919-4700.

Contact Information

Primary practice address
330 N Gore Ave Webster Groves MO 63119-1600
Phone: (314) 919-4700
Fax: (314) 968-2375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 002178 Missouri

Profile Details

NPI number 1962610444
LBN Legal business name Stack, Pamela June
Credentials MA, ATR-BC, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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